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DR. TANISHA PITRE PSYD
NPI 1700925328
Psychologist - Clinical in Los Angeles, CA

Active since February 06, 2007PECOS Enrolled
3877 S WESTERN AVE, LOS ANGELES, CA 90062(323) 290-4348 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Tanisha Pitre Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TANISHA PITRE PSYD (NPI 1700925328) is an individual clinical provider in Los Angeles, California, licensed in California (RPS2006150) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700925328
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. TANISHA PITRECredential: PSYD
Location Address3877 S WESTERN AVELos Angeles, CA 90062-1100
Mailing Address1429 Brett Pl Apt 104San Pedro, CA 90732-5053 · (310) 704-8032
Phone(323) 290-4348
Sole ProprietorNo
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1700925328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · RPS2006150
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3877 S WESTERN AVE, Los Angeles, CA 90062
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tanisha Pitre Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Tanisha Pitre reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mission City Community Network, Inc.
6.0 mi
Mental Health (Including Community Mental Health Center)
4842 HOLLYWOOD BLVD
Hollywood, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 146 clinicians in this Medicare group
NPI 1710102009 (323) 644-1110
Foothills Psychological Services, Inc.
38 mi
Psychologist
954 W FOOTHILL BLVD STE A
Upland, CA 91786
  • Reassigned Medicare billing, California enrollment
  • 76 clinicians in this Medicare group
NPI 1336121888 (909) 946-4222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanisha Pitre's NPI number?

The NPI number for Tanisha Pitre is 1700925328. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Tanisha Pitre located?

Tanisha Pitre practices at 3877 S Western Ave, Los Angeles, CA 90062. The listed phone number is (323) 290-4348.

What is Tanisha Pitre's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Tanisha Pitre enrolled in Medicare?

Yes. Tanisha Pitre is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tanisha Pitre's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanisha Pitre reassigns Medicare benefits to 2 organizations: Mission City Community Network, Inc. (Hollywood, CA) and Foothills Psychological Services, Inc. (Upland, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tanisha Pitre's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tanisha Pitre was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.